340B Drug Pricing Program Database


CHC28990-15 RIVERSIDE COUNTY HEALTH SYSTEM (Active) - information as of 6/4/2025 1:19:18 PM

Main Details
RIVERSIDE COUNTY HEALTH SYSTEM
Palm Springs Community Health Center
HRSA-Funded Health Center
BPS-H80-034506
CHC28990-15
H80CS28990


Additional Details
Active
7/8/2022
10/1/2022
7/25/2022
2/20/2025

Contacts

RUHS
Leah Patterson, Chief Nursing Officer
(951) 486-7532

RUHS
Davalyn Tidwell, Pharmacy Director
(951) 486-4527

Addresses

191 N Sunrise Way
Palm Springs, CA 92262-5201

Same as Street Address


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Grantee Sites
  • Grantee Sites Contract Pharmacies
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

Yes
Shipping Addresses

RUHS - MC - Retail Pharmacy
26520 Cactus Avenue
Moreno Valley, CA 92555

RUHS - Surgical Center Pharmacy
26600 Cactus Ave
Moreno Valley, CA 92555

RUHS - Corona Pharmacy
2813 South Main Street
Corona, CA 92882

RUHS - Neighborhood Pharmacy
7140 Indiana Ave
Riverside, CA 92504

RUHS - Palm Springs Pharmacy
191 N Sunrise Way
Palm Springs, CA 92262-5201
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CHC28990-00ActiveBPS-H80-015629RIVERSIDE COUNTY HEALTH SYSTEMPerris Family Care Center308 E SAN JACINTO AVE PERRISCA
CHC28990-01ActiveBPS-H80-015623RIVERSIDE COUNTY HEALTH SYSTEMRiverside Neighborhood Health Center7140 INDIANA AVE RIVERSIDECA
CHC28990-02ActiveBPS-H80-015622RIVERSIDE COUNTY HEALTH SYSTEMRubidoux Family Care Center5256 MISSION BLVD RIVERSIDECA
CHC28990-03ActiveBPS-H80-015620RIVERSIDE COUNTY HEALTH SYSTEMHemet Family Care Center880 N STATE ST HEMETCA
CHC28990-04TerminatedBPS-H80-015614RIVERSIDE COUNTY HEALTH SYSTEMPalm Springs Family Care Center1515 N SUNRISE WAY PALM SPRINGSCA
CHC28990-05ActiveBPS-H80-015613RIVERSIDE COUNTY HEALTH SYSTEMIndio Family Care Center47923 OASIS ST INDIOCA
CHC28990-06ActiveBPS-H80-015606RIVERSIDE COUNTY HEALTH SYSTEMLake Elsinore Family Care Center2499 E LAKESHORE DR LAKE ELSINORECA
CHC28990-07ActiveBPS-H80-015611RIVERSIDE COUNTY HEALTH SYSTEMBanning Family Care Center3055 W RAMSEY ST BANNINGCA
CHC28990-08ActiveBPS-H80-021947RIVERSIDE COUNTY HEALTH SYSTEMCorona Community Health Center2813 S MAIN ST CORONACA
CHC28990-09ActiveBPS-H80-027759RIVERSIDE COUNTY HEALTH SYSTEMJurupa Valley Community Health Center8876 Mission Blvd Jurupa ValleyCA
CHC28990-10ActiveBPS-H80-022222Riverside County Health SystemMoreno Valley Community Health Center23520 Cactus Ave Moreno ValleyCA
CHC28990-11ActiveBPS-H80-027874Riverside County Health SystemPerris Valley Community Health Center450 E San Jacinto Ave PerrisCA
CHC28990-12ActiveBPS-H80-030385Riverside County Health SystemMain Campus Community Health Center26600 Cactus Ave. STE 300 Moreno ValleyCA
CHC28990-13TerminatedBPS-H80-034014Riverside, County ofBlythe Community Health Center1297 W Hobsonway Ste 100 BlytheCA
CHC28990-14ActiveBPS-H80-031028Riverside, County ofMobile Health Clinic #147923 Oasis St IndioCA
CHC28990-15ActiveBPS-H80-034506RIVERSIDE COUNTY HEALTH SYSTEMPalm Springs Community Health Center191 N Sunrise Way Palm SpringsCA
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification2/12/2024 3:14:10 PM2/20/2025 9:08:46 PM2/20/2025 9:08 PM
DetailsLast Recertification DateUpdateRecertification2/28/2023 7:41:04 AM2/12/2024 3:14:10 PM2/12/2024 3:14 PM
DetailsLast Recertification DateUpdateRecertification 2/28/2023 7:41:04 AM2/28/2023 7:41 AM
DetailsEntity NameUpdateRecertificationRiverside, County ofRIVERSIDE COUNTY HEALTH SYSTEM2/28/2023 7:41 AM
AddressesShipping AddressInsertChange Request RUHS - Palm Springs Pharmacy 191 N Sunrise Way Palm Springs, CA 92262-520112/7/2022 3:09 PM
DetailsStateUpdate ApprovedActive10/1/2022 12:01 AM
ContactsSigned ByInsertNew Registration Patterson, Leah Chief Nursing Officer RUHS 95148675327/25/2022 11:26 AM
Details340B IDUpdateNew Registration CHC28990-157/25/2022 11:26 AM
DatesParticipating Approval DateUpdateNew Registration 7/25/2022 11:26:29 AM7/25/2022 11:26 AM
DetailsStateUpdateNew RegistrationPendingApproved7/25/2022 11:26 AM
DatesSigned By DateUpdateNew Registration 7/20/2022 2:35:12 PM7/25/2022 11:26 AM
DatesStart DateUpdateNew Registration 10/1/2022 12:00:00 AM7/25/2022 11:26 AM
AddressesMain AddressInsertNew Registration  191 N Sunrise Way Palm Springs, CA 92262-52017/8/2022 4:56 PM
AddressesShipping AddressInsertNew Registration RUHS - MC - Retail Pharmacy 26520 Cactus Avenue Moreno Valley, CA 925557/8/2022 4:56 PM
AddressesShipping AddressInsertNew Registration RUHS - Surgical Center Pharmacy 26600 Cactus Ave Moreno Valley, CA 925557/8/2022 4:56 PM
AddressesShipping AddressInsertNew Registration RUHS - Corona Pharmacy 2813 South Main Street Corona, CA 928827/8/2022 4:56 PM
AddressesShipping AddressInsertNew Registration RUHS - Neighborhood Pharmacy 7140 Indiana Ave Riverside, CA 925047/8/2022 4:56 PM
Medicaid BillingNPI: NumberInsertNew Registration 13867582257/8/2022 4:56 PM
Medicaid BillingNPI: StateInsertNew Registration CA7/8/2022 4:56 PM
ContactsPrimary ContactInsertNew Registration Tidwell, Davalyn Pharmacy Director RUHS 95148645277/8/2022 4:56 PM
ContactsAuthorizing OfficialInsertNew Registration Patterson, Leah Chief Nursing Officer RUHS 95148675327/8/2022 4:56 PM
DetailsAssistance Received From DateInsertNew Registration  7/8/2022 4:56 PM
DetailsAssistance Received To DateInsertNew Registration  7/8/2022 4:56 PM
DetailsLast Recertification DateInsertNew Registration  7/8/2022 4:56 PM
DetailsGrant NumberInsertNew Registration H80CS289907/8/2022 4:56 PM
Details340B IDInsertNew Registration  7/8/2022 4:56 PM
DetailsIs Authorizing Official EHB DataInsertNew Registration  7/8/2022 4:56 PM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  7/8/2022 4:56 PM
DetailsMedicare Provider NumberInsertNew Registration  7/8/2022 4:56 PM
DetailsEntity NameInsertNew Registration Riverside, County of7/8/2022 4:56 PM
DetailsNOFO NumberInsertNew Registration  7/8/2022 4:56 PM
DetailsProgram CodeInsertNew Registration CH7/8/2022 4:56 PM
DetailsEntity SubnameInsertNew Registration Palm Springs Community Health Center7/8/2022 4:56 PM
DatesParticipating Approval DateInsertNew Registration  7/8/2022 4:56 PM
DetailsStateInsertNew Registration Pending7/8/2022 4:56 PM
DatesRegistration DateInsertNew Registration 7/8/2022 4:56:16 PM7/8/2022 4:56 PM
DatesSigned By DateInsertNew Registration  7/8/2022 4:56 PM
DatesStart DateInsertNew Registration  7/8/2022 4:56 PM
TerminationsTermination CommentsInsertNew Registration  7/8/2022 4:56 PM
TerminationsTermination DateInsertNew Registration  7/8/2022 4:56 PM
TerminationsTermination Effective DateInsertNew Registration  7/8/2022 4:56 PM
TerminationsTermination ReasonInsertNew Registration  7/8/2022 4:56 PM